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            <td width="326" height="16"><b><font size="2"> 
              <SELECT name="country" id="country" class="ctrl" STYLE="width: 225px" tabindex="40"> 
				<OPTION value="" >Select Country</OPTION><OPTION value="AF">Afghanistan</OPTION><OPTION value="AL">Albania</OPTION><OPTION value="DZ">Algeria</OPTION><OPTION value="AS">American Samoa</OPTION><OPTION value="AD">Andorra</OPTION><OPTION value="AO">Angola</OPTION><OPTION value="AI">Anguilla</OPTION><OPTION value="AQ">Antarctica</OPTION><OPTION value="AG">Antigua and Barbuda</OPTION><OPTION value="AR">Argentina</OPTION><OPTION value="AM">Armenia</OPTION><OPTION value="AW">Aruba</OPTION><OPTION value="AU">Australia</OPTION><OPTION value="AT">Austria</OPTION><OPTION value="AZ">Azerbaijan</OPTION><OPTION value="BS">Bahamas</OPTION><OPTION value="BH">Bahrain</OPTION><OPTION value="BD">Bangladesh</OPTION><OPTION value="BB">Barbados</OPTION><OPTION value="BY">Belarus</OPTION><OPTION value="BE">Belgium</OPTION><OPTION value="BZ">Belize</OPTION><OPTION value="BJ">Benin</OPTION><OPTION value="BM">Bermuda</OPTION><OPTION value="BT">Bhutan</OPTION><OPTION value="BO">Bolivia</OPTION><OPTION value="BA">Bosnia and Herzegovina</OPTION><OPTION value="BW">Botswana</OPTION><OPTION value="BV">Bouvet Island</OPTION><OPTION value="BR">Brazil</OPTION><OPTION value="IO">British Indian Ocean Territory</OPTION><OPTION value="BN">Brunei</OPTION><OPTION value="BG">Bulgaria</OPTION><OPTION value="BF">Burkina Faso</OPTION><OPTION value="BI">Burundi</OPTION><OPTION value="KH">Cambodia</OPTION><OPTION value="CM">Cameroon</OPTION><OPTION value="CA">Canada</OPTION><OPTION value="CV">Cape Verde</OPTION><OPTION value="KY">Cayman Islands</OPTION><OPTION value="CF">Central African Republic</OPTION><OPTION value="TD">Chad</OPTION><OPTION value="CL">Chile</OPTION><OPTION value="CN">China</OPTION><OPTION value="CX">Christmas Island</OPTION><OPTION value="CC">Cocos (Keeling) Islands</OPTION><OPTION value="CO">Colombia</OPTION><OPTION value="KM">Comoros</OPTION><OPTION value="CG">Congo</OPTION><OPTION value="CK">Cook Islands</OPTION><OPTION value="CR">Costa Rica</OPTION><OPTION value="CI">C?te d'Ivoire</OPTION><OPTION value="HR">Croatia (Hrvatska)</OPTION><OPTION value="CU">Cuba</OPTION><OPTION value="CY">Cyprus</OPTION><OPTION value="CZ">Czech Republic</OPTION><OPTION value="CD">Congo (DRC)</OPTION><OPTION value="DK">Denmark</OPTION><OPTION value="DJ">Djibouti</OPTION><OPTION value="DM">Dominica</OPTION><OPTION value="DO">Dominican Republic</OPTION><OPTION value="TP">East Timor</OPTION><OPTION value="EC">Ecuador</OPTION><OPTION value="EG">Egypt</OPTION><OPTION value="SV">El Salvador</OPTION><OPTION value="GQ">Equatorial Guinea</OPTION><OPTION value="ER">Eritrea</OPTION><OPTION value="EE">Estonia</OPTION><OPTION value="ET">Ethiopia</OPTION><OPTION value="FK">Falkland Islands (Islas Malvinas)</OPTION><OPTION value="FO">Faroe Islands</OPTION><OPTION value="FJ">Fiji Islands</OPTION><OPTION value="FI">Finland</OPTION><OPTION value="FR">France</OPTION><OPTION value="GF">French Guiana</OPTION><OPTION value="PF">French Polynesia</OPTION><OPTION value="TF">French Southern and Antarctic Lands</OPTION><OPTION value="GA">Gabon</OPTION><OPTION value="GM">Gambia</OPTION><OPTION value="GE">Georgia</OPTION><OPTION value="DE">Germany</OPTION><OPTION value="GH">Ghana</OPTION><OPTION value="GI">Gibraltar</OPTION><OPTION value="GR">Greece</OPTION><OPTION value="GL">Greenland</OPTION><OPTION value="GD">Grenada</OPTION><OPTION value="GP">Guadeloupe</OPTION><OPTION value="GU">Guam</OPTION><OPTION value="GT">Guatemala</OPTION><OPTION value="GN">Guinea</OPTION><OPTION value="GW">Guinea-Bissau</OPTION><OPTION value="GY">Guyana</OPTION><OPTION value="HT">Haiti</OPTION><OPTION value="HM">Heard Island and McDonald Islands</OPTION><OPTION value="HN">Honduras</OPTION><OPTION value="HK">Hong Kong SAR</OPTION><OPTION value="HU">Hungary</OPTION><OPTION value="IS">Iceland</OPTION><OPTION value="IN" selected>India</OPTION><OPTION value="ID">Indonesia</OPTION><OPTION value="IR">Iran</OPTION><OPTION value="IQ">Iraq</OPTION><OPTION value="IE">Ireland</OPTION><OPTION value="IL">Israel</OPTION><OPTION value="IT">Italy</OPTION><OPTION value="JM">Jamaica</OPTION><OPTION value="JP">Japan</OPTION><OPTION value="JO">Jordan</OPTION><OPTION value="KZ">Kazakhstan</OPTION><OPTION value="KE">Kenya</OPTION><OPTION value="KI">Kiribati</OPTION><OPTION value="KR">Korea</OPTION><OPTION value="KW">Kuwait</OPTION><OPTION value="KG">Kyrgyzstan</OPTION><OPTION value="LA">Laos</OPTION><OPTION value="LV">Latvia</OPTION><OPTION value="LB">Lebanon</OPTION><OPTION value="LS">Lesotho</OPTION><OPTION value="LR">Liberia</OPTION><OPTION value="LY">Libya</OPTION><OPTION value="LI">Liechtenstein</OPTION><OPTION value="LT">Lithuania</OPTION><OPTION value="LU">Luxembourg</OPTION><OPTION value="MO">Macao SAR</OPTION><OPTION value="MK">Macedonia, Former Yugoslav Republic of</OPTION><OPTION value="MG">Madagascar</OPTION><OPTION value="MW">Malawi</OPTION><OPTION value="MY">Malaysia</OPTION><OPTION value="MV">Maldives</OPTION><OPTION value="ML">Mali</OPTION><OPTION value="MT">Malta</OPTION><OPTION value="MH">Marshall Islands</OPTION><OPTION value="MQ">Martinique</OPTION><OPTION value="MR">Mauritania</OPTION><OPTION value="MU">Mauritius</OPTION><OPTION value="YT">Mayotte</OPTION><OPTION value="MX">Mexico</OPTION><OPTION value="FM">Micronesia</OPTION><OPTION value="MD">Moldova</OPTION><OPTION value="MC">Monaco</OPTION><OPTION value="MN">Mongolia</OPTION><OPTION value="MS">Montserrat</OPTION><OPTION value="MA">Morocco</OPTION><OPTION value="MZ">Mozambique</OPTION><OPTION value="MM">Myanmar</OPTION><OPTION value="NA">Namibia</OPTION><OPTION value="NR">Nauru</OPTION><OPTION value="NP">Nepal</OPTION><OPTION value="NL">Netherlands</OPTION><OPTION value="AN">Netherlands Antilles</OPTION><OPTION value="NC">New Caledonia</OPTION><OPTION value="NZ">New Zealand</OPTION><OPTION value="NI">Nicaragua</OPTION><OPTION value="NE">Niger</OPTION><OPTION value="NG">Nigeria</OPTION><OPTION value="NU">Niue</OPTION><OPTION value="NF">Norfolk Island</OPTION><OPTION value="KP">North Korea</OPTION><OPTION value="MP">Northern Mariana Islands</OPTION><OPTION value="NO">Norway</OPTION><OPTION value="OM">Oman</OPTION><OPTION value="PK">Pakistan</OPTION><OPTION value="PW">Palau</OPTION><OPTION value="PA">Panama</OPTION><OPTION value="PG">Papua New Guinea</OPTION><OPTION value="PY">Paraguay</OPTION><OPTION value="PE">Peru</OPTION><OPTION value="PH">Philippines</OPTION><OPTION value="PN">Pitcairn Islands</OPTION><OPTION value="PL">Poland</OPTION><OPTION value="PT">Portugal</OPTION><OPTION value="PR">Puerto Rico</OPTION><OPTION value="QA">Qatar</OPTION><OPTION value="RE">Reunion</OPTION><OPTION value="RO">Romania</OPTION><OPTION value="RU">Russia</OPTION><OPTION value="RW">Rwanda</OPTION><OPTION value="WS">Samoa</OPTION><OPTION value="SM">San Marino</OPTION><OPTION value="ST">S?o Tom? and Pr?ncipe</OPTION><OPTION value="SA">Saudi Arabia</OPTION><OPTION value="SN">Senegal</OPTION><OPTION value="YU">Serbia and Montenegro</OPTION><OPTION value="SC">Seychelles</OPTION><OPTION value="SL">Sierra Leone</OPTION><OPTION value="SG">Singapore</OPTION><OPTION value="SK">Slovakia</OPTION><OPTION value="SI">Slovenia</OPTION><OPTION value="SB">Solomon Islands</OPTION><OPTION value="SO">Somalia</OPTION><OPTION value="ZA">South Africa</OPTION><OPTION value="GS">South Georgia and the South Sandwich Islands</OPTION><OPTION value="ES">Spain</OPTION><OPTION value="LK">Sri Lanka</OPTION><OPTION value="SH">St. Helena</OPTION><OPTION value="KN">St. Kitts and Nevis</OPTION><OPTION value="LC">St. Lucia</OPTION><OPTION value="PM">St. Pierre and Miquelon</OPTION><OPTION value="VC">St. Vincent and the Grenadines</OPTION><OPTION value="SD">Sudan</OPTION><OPTION value="SR">Suriname</OPTION><OPTION value="SJ">Svalbard and Jan Mayen</OPTION><OPTION value="SZ">Swaziland</OPTION><OPTION value="SE">Sweden</OPTION><OPTION value="CH">Switzerland</OPTION><OPTION value="SY">Syria</OPTION><OPTION value="TW">Taiwan</OPTION><OPTION value="TJ">Tajikistan</OPTION><OPTION value="TZ">Tanzania</OPTION><OPTION value="TH">Thailand</OPTION><OPTION value="TG">Togo</OPTION><OPTION value="TK">Tokelau</OPTION><OPTION value="TO">Tonga</OPTION><OPTION value="TT">Trinidad and Tobago</OPTION><OPTION value="TN">Tunisia</OPTION><OPTION value="TR">Turkey</OPTION><OPTION value="TM">Turkmenistan</OPTION><OPTION value="TC">Turks and Caicos Islands</OPTION><OPTION value="TV">Tuvalu</OPTION><OPTION value="UG">Uganda</OPTION><OPTION value="UA">Ukraine</OPTION><OPTION value="AE">United Arab Emirates</OPTION><OPTION value="UK">United Kingdom</OPTION><OPTION value="US">United States</OPTION><OPTION value="UM">United States Minor Outlying Islands</OPTION><OPTION value="UY">Uruguay</OPTION><OPTION value="UZ">Uzbekistan</OPTION><OPTION value="VU">Vanuatu</OPTION><OPTION value="VA">Vatican City</OPTION><OPTION value="VE">Venezuela</OPTION><OPTION value="VN">Viet Nam</OPTION><OPTION value="VG">Virgin Islands (British)</OPTION><OPTION value="VI">Virgin Islands</OPTION><OPTION value="WF">Wallis and Futuna</OPTION><OPTION value="YE">Yemen</OPTION><OPTION value="ZM">Zambia</OPTION><OPTION value="ZW">Zimbabwe
		    </OPTION></SELECT>						
            </font></b></td> 
            <td width="176" height="16"><div align="right"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">State&nbsp;</font></div></td> 
            <td width="276" height="16"><font size="2"> 
              <SELECT name="state" tabindex="56" id="state" STYLE="width: 225px" >
			<OPTION selected value="-1"> Select State</OPTION>
			<OPTION value="AN">Andaman and Nicobar</OPTION>
			<OPTION value="AP">Andhra Pradesh</OPTION>
			<OPTION value="ARP">Arunachal Pradesh</OPTION>
			<OPTION value="ASM">Assam</OPTION>
			<OPTION value="BR">Bihar</OPTION>
			<OPTION value="CG">Chhattisgadh</OPTION>
			<OPTION value="DNH">Dadar and Nagar Haveli</OPTION>
			<OPTION value="DD">Daman and Diu</OPTION>
			<OPTION value="DL">Delhi</OPTION>
			<OPTION value="GOA">Goa</OPTION>
			<OPTION value="GJR">Gujarat</OPTION>
			<OPTION value="HRY">Haryana</OPTION>
			<OPTION value="HP">Himachal Pradesh</OPTION>
			<OPTION value="JK">Jammu and Kashmir</OPTION>
			<OPTION value="JH">Jharkhand</OPTION>
			<OPTION value="KRN">Karnataka</OPTION>
			<OPTION value="KRL">Kerala</OPTION>
			<OPTION value="LD">Lakshadeep</OPTION>
			<OPTION value="MP">Madya Pradesh</OPTION>
			<OPTION value="MH">Maharashtra</OPTION>
			<OPTION value="MPR">Manipur</OPTION>
			<OPTION value="MG">Meghalaya</OPTION>
			<OPTION value="MZ">Mizoram</OPTION>
			<OPTION value="NL">Nagaland</OPTION>
			<OPTION value="OR">Orissa</OPTION>
			<OPTION value="PD">Pondicherry</OPTION>
			<OPTION value="PJB">Punjab</OPTION>
			<OPTION value="RAJ">Rajasthan</OPTION>
			<OPTION value="SKM">Sikkim</OPTION>
			<OPTION value="TN">Tamil Nadu</OPTION>
			<OPTION value="TRP">Tripura</OPTION>
			<OPTION value="UTR">Uttaranchal</OPTION>
			<OPTION value="UP">Uttar Pradesh</OPTION>
			<OPTION value="WB">West Bengal</OPTION>
		</SELECT>
            </font></td> 
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            <td height="16"><div align="right"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">City</font><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><font size="2">&nbsp;</font> </font></div></td> 
            <td height="16"><b><font size="2"> 
              <SELECT name="city" id="city" class="drop1" tabindex="39" STYLE="width: 225px" >
                <OPTION selected value="-1">Select City</OPTION>
                <OPTGROUP label="Top Cities">
                <OPTION value="243">Bangalore</OPTION>
                <OPTION value="244">Chennai</OPTION>
                <OPTION value="245">Delhi-NCR</OPTION>
                <OPTION value="246">Hyderabad</OPTION>
                <OPTION value="247">Kolkata</OPTION>
                <OPTION value="248">Mumbai-Thane</OPTION>
                <OPTION value="249">Pune</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Andaman and Nicobar">
                <OPTION value="251">Port Blair</OPTION>
                <OPTION value="250">Other Andaman and Nicobar</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Andhra Pradesh">
                <OPTION value="252">Anantpur</OPTION>
                <OPTION value="253">Chittoor</OPTION>
                <OPTION value="254">Guntur</OPTION>
                <OPTION value="255">Kurnool</OPTION>
                <OPTION value="256">Nellore</OPTION>
                <OPTION value="258">Vishakhapatnam</OPTION>
                <OPTION value="259">Vizianagram</OPTION>
                <OPTION value="260">Warangal</OPTION>
                <OPTION value="257">Other Andhra Pradesh</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Arunachal Pradesh">
                <OPTION value="261">Itanagar</OPTION>
                <OPTION value="262">Other Arunachal Pradesh</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Assam">
                <OPTION value="263">Guwahati</OPTION>
                <OPTION value="264">Other Assam</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Bihar">
                <OPTION value="265">Aurangabad</OPTION>
                <OPTION value="266">Bhagalpur</OPTION>
                <OPTION value="267">Darbhanga</OPTION>
                <OPTION value="268">Gaya</OPTION>
                <OPTION value="269">Madhubani</OPTION>
                <OPTION value="270">Muzaffarpur</OPTION>
                <OPTION value="272">Patna</OPTION>
                <OPTION value="273">Siwan</OPTION>
                <OPTION value="271">Other Bihar</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Chandigarh-Mohali-Panchkula">
                <OPTION value="274">All Chandigarh-Mohali-Panchkula</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Chattisgarh">
                <OPTION value="275">Bilaspur</OPTION>
                <OPTION value="276">Durg</OPTION>
                <OPTION value="278">Raipur</OPTION>
                <OPTION value="277">Other Chattisgarh</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Dadar and Nagar Haveli">
                <OPTION value="280">Silvassa</OPTION>
                <OPTION value="279">Other Dadar and Nagar Haveli</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Daman and Diu">
                <OPTION value="281">Daman</OPTION>
                <OPTION value="282">Other Daman and Diu</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Goa">
                <OPTION value="284">Panaji</OPTION>
                <OPTION value="283">Other Goa</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Gujarat">
                <OPTION value="285">Ahmedabad</OPTION>
                <OPTION value="286">Gandhinagar</OPTION>
                <OPTION value="287">Jamnagar</OPTION>
                <OPTION value="289">Rajkot</OPTION>
                <OPTION value="290">Surat</OPTION>
                <OPTION value="291">Varodara</OPTION>
                <OPTION value="288">Other Gujarat</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Haryana">
                <OPTION value="293">Panipat</OPTION>
                <OPTION value="294">Sonepat</OPTION>
                <OPTION value="292">Other Haryana</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Himachal Pradesh">
                <OPTION value="296">Shimla</OPTION>
                <OPTION value="295">Other Himachal Pradesh</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Jammu and Kashmir">
                <OPTION value="297">Jammu</OPTION>
                <OPTION value="299">Srinagar</OPTION>
                <OPTION value="298">Other Jammu and Kashmir</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Jharkhand">
                <OPTION value="300">Bokaro</OPTION>
                <OPTION value="301">Dhanbad</OPTION>
                <OPTION value="302">Hazaribagh</OPTION>
                <OPTION value="303">Jamshedpur</OPTION>
                <OPTION value="305">Ranchi</OPTION>
                <OPTION value="304">Other Jharkhand</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Karnatka">
                <OPTION value="306">Belgaum</OPTION>
                <OPTION value="307">Mangalore</OPTION>
                <OPTION value="308">Mysore</OPTION>
                <OPTION value="309">Other Karnataka</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Kerala">
                <OPTION value="310">Kochi</OPTION>
                <OPTION value="311">Kottayam</OPTION>
                <OPTION value="312">Kozhikode</OPTION>
                <OPTION value="314">Palakkad</OPTION>
                <OPTION value="315">Thiruvanananthapuram</OPTION>
                <OPTION value="316">Thrissur</OPTION>
                <OPTION value="313">Other Kerala</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Lakshadweep">
                <OPTION value="317">Kavaratti</OPTION>
                <OPTION value="318">Other Lakshadweep</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Madhya Pradesh">
                <OPTION value="319">Bhopal</OPTION>
                <OPTION value="320">Gwalior</OPTION>
                <OPTION value="321">Indore</OPTION>
                <OPTION value="322">Jabalpur</OPTION>
                <OPTION value="324">Ujjain</OPTION>
                <OPTION value="323">Other Madhya Pradesh</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Maharashtra">
                <OPTION value="325">Ahmednagar</OPTION>
                <OPTION value="326">Aurangabad</OPTION>
                <OPTION value="327">Jalgaon</OPTION>
                <OPTION value="328">Kolhapur</OPTION>
                <OPTION value="329">Nagpur</OPTION>
                <OPTION value="330">Nashik</OPTION>
                <OPTION value="332">Solapur</OPTION>
                <OPTION value="331">Other Maharashtra</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Manipur">
                <OPTION value="333">Imphal</OPTION>
                <OPTION value="334">Other Manipur</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Meghalaya">
                <OPTION value="336">Shillong</OPTION>
                <OPTION value="335">Other Meghalaya</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Mizoram">
                <OPTION value="337">Aizawl</OPTION>
                <OPTION value="338">Other Mizoram</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Nagaland">
                <OPTION value="339">Kohima</OPTION>
                <OPTION value="340">Other Nagaland</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Orrisa">
                <OPTION value="341">Bhubaneswar</OPTION>
                <OPTION value="342">Cuttack</OPTION>
                <OPTION value="344">Puri</OPTION>
                <OPTION value="345">Sundargarh</OPTION>
                <OPTION value="343">Other Orrisa</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Pondicherry">
                <OPTION value="346">All Pondicherry</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Punjab">
                <OPTION value="347">Amritsar</OPTION>
                <OPTION value="348">Jalandhar</OPTION>
                <OPTION value="349">Ludhiana</OPTION>
                <OPTION value="350">Other Punjab</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Rajasthan">
                <OPTION value="351">Ajmer</OPTION>
                <OPTION value="352">Bikaner</OPTION>
                <OPTION value="353">Jaipur</OPTION>
                <OPTION value="354">Jaisalmer</OPTION>
                <OPTION value="355">Jodhpur</OPTION>
                <OPTION value="356">Kota</OPTION>
                <OPTION value="358">Udaipur</OPTION>
                <OPTION value="357">Other Rajasthan</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Sikkim">
                <OPTION value="359">Gangtok</OPTION>
                <OPTION value="360">Other Sikkim</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Tamil Nadu">
                <OPTION value="361">Coimbatore</OPTION>
                <OPTION value="362">Erode</OPTION>
                <OPTION value="363">Karur</OPTION>
                <OPTION value="364">Madurai</OPTION>
                <OPTION value="366">Salem</OPTION>
                <OPTION value="367">Tiruchirappalli</OPTION>
                <OPTION value="368">Vellore</OPTION>
                <OPTION value="365">Other Tamil Nadu</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Tripura">
                <OPTION value="369">Agartala</OPTION>
                <OPTION value="370">Other Tripura</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Uttar Pradesh">
                <OPTION value="371">Agra</OPTION>
                <OPTION value="372">Aligarh</OPTION>
                <OPTION value="373">Allahabad</OPTION>
                <OPTION value="374">Bareilly</OPTION>
                <OPTION value="375">Gorakhpur</OPTION>
                <OPTION value="376">Jhansi</OPTION>
                <OPTION value="377">Kanpur</OPTION>
                <OPTION value="378">Lucknow</OPTION>
                <OPTION value="379">Mathura</OPTION>
                <OPTION value="380">Meerut</OPTION>
                <OPTION value="381">Moradabad</OPTION>
                <OPTION value="382">Muzaffarnagar</OPTION>
                <OPTION value="384">Saharanpur</OPTION>
                <OPTION value="385">Varanasi</OPTION>
                <OPTION value="383">Other Uttar Pradesh</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Uttarakhand">
                <OPTION value="386">Dehradun</OPTION>
                <OPTION value="387">Haridwar</OPTION>
                <OPTION value="388">Nainital</OPTION>
                <OPTION value="389">Other Uttarakhand</OPTION>
                </OPTGROUP>
                <OPTGROUP label="West Bengal">
                <OPTION value="393">Asansol</OPTION>
                <OPTION value="394">Bardhman</OPTION>
                <OPTION value="395">Durgapur</OPTION>
                <OPTION value="396">Haldia</OPTION>
                <OPTION value="390">Jalpaiguri</OPTION>
                <OPTION value="397">Siliguri</OPTION>
                <OPTION value="391">Other West Bengal</OPTION>
                </OPTGROUP>
                <OPTGROUP label="Other">
                <OPTION value="392">Other</OPTION>
                </OPTGROUP>
              </SELECT> 
            </font></b></td> 
            <td height="16"><div align="right"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Village&nbsp;</font></div></td> 
            <td height="16"><font size="2"> 
              <input name="village" id="village" type="text" class="textBoxDashed" tabindex="19" size="33" maxlength="35" onKeyUp="chkdata(18)"> 
              </font></td> 
          </tr> 
		  <tr bgcolor="#EBEBEB"> 
            <td height="16"><div align="right"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><font size="2">Address contains&nbsp; </font> </font></div></td> 
            <td height="16" colspan="3"><b><font size="2"> 
              <input name="addr" id="addr" type="text" class="textBoxDashed" tabindex="16" size="50" maxlength="255" onKeyUp="chkdata(17)"> 
            </font></b></td> 
          </tr> 
		  <tr bgcolor="#F0E7DD"> 
            <td colspan="4" height="20"> <div align="left"><font face="Verdana, Arial, Helvetica, sans-serif"><b><font size="2" color="#990000">&nbsp;&nbsp;</font></b></font><b><font face="Verdana, Arial, Helvetica, sans-serif"><b><font size="2" color="#990000"></td> 
          </tr> 
		  <tr bgcolor="#EBEBEB"> 
            <td height="13"> <div align="right"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><font color="#000000">Updesh&nbsp;</font></font></font></div></td> 
            <td height="13" colspan="3">&nbsp;
                <input name="updesh" id="updeshYes" type="radio" class="textBoxDashed" tabindex="10" onKeyUp="chkdata(11)" value="yes" size="33" maxlength="50"> 
				<font size="2" face="Verdana, Arial, Helvetica, sans-serif">Yes</font>
              
              <input name="updesh" id="updeshNo" type="radio" class="textBoxDashed" tabindex="10" onKeyUp="chkdata(11)" value="no" size="33" maxlength="50">
		    <font color="#000000" size="2" face="Verdana, Arial, Helvetica, sans-serif">No</font><b><font color="#000000" size="2" face="Verdana, Arial, Helvetica, sans-serif">&nbsp;</font><font color="#000000"></b></td> 
		  </tr>
		  <tr bgcolor="#EBEBEB"> 
            <td height="20" > <div align="right"><font face="Verdana, Arial, Helvetica, sans-serif">
			<font size="2" color="#000000">Updesh By&nbsp;</font> </font></div></td>		
            <td height="20" colspan="3" align="left"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><b><font size="2">
              <input id="updeshBy" name="updeshBy" type="text" class="textBoxDashed" tabindex="12"  size="33" maxlength="20"  onFocus="popUp(event,'t3')" onBlur="popUp(event,'t3')" onKeyUp="chkdata(13)">
            </font></b></font></font>
              <img src="image_gif/find.png" width="16" height="16" tabindex="34"></td>           
		  </tr>
          <tr bgcolor="#EBEBEB"> 
            <td height="16"><div align="right"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Updesh between&nbsp; </font></div></td> 
            <td height="16" colspan="3"><b><font size="2">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</font></b><font size="2"><b>&nbsp;&nbsp;
			<select id="fromDay" name="fromDay" size="1">
			<option value="DD">DD</option>
			<script type="text/javascript">
			for(var j=1;j<32;j++)
			document.write("<option value="+j+">"+j+"</option>");
			</script></select> 
              <select id="fromMonth" name="fromMonth" size="1">
			<option value="MM">MM</option>
			<script type="text/javascript">
			for(var i=1;i<13;i++)
			document.write("<option value="+i+">"+i+"</option>");
			</script></select>
		  <select id="fromYear" name="fromYear" size="1">
		  <option value="YY">YYYY</option>
				<script type="text/javascript">
				for(var k=startyear;k<endyear;k++)
				document.write("<option value="+k+">"+k+"</option>");
				</script></select>
				</b></font>
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<font size="2" face="Verdana, Arial, Helvetica, sans-serif">and</font>&nbsp;
<select name="toDay" id="toDay" size="1">
			<option value="DD">DD</option>
<script type="text/javascript">
for(var j=1;j<32;j++)
document.write("<option value="+j+">"+j+"</option>");
</script></select> 
<select id="toMonth" name="toMonth" size="1">
			<option value="MM">MM</option>
<script type="text/javascript">
for(var i=1;i<13;i++)
document.write("<option value="+i+">"+i+"</option>");
</script></select>
                  <select id="toYear" name="toYear" size="1">
				  <option value="YY">YYYY</option>
<script type="text/javascript">
for(var k=startyear;k<endyear;k++)
document.write("<option value="+k+">"+k+"</option>");
</script></select></td> 
          </tr> 
		  <tr bgcolor="#F0E7DD"> 
            <td colspan="4" height="20"> <div align="left"><font face="Verdana, Arial, Helvetica, sans-serif"><b><font size="2" color="#990000">&nbsp;&nbsp;</font></b></font><b><font face="Verdana, Arial, Helvetica, sans-serif"><b><font size="2" color="#990000"></td> 
          </tr> 
		  <tr bgcolor="#EBEBEB"> 
            <td height="16"><div align="right"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Age between&nbsp; </font></div></td> 
            <td height="16" colspan="3"><b><font size="2">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</font></b><font size="2" face="Verdana, Arial, Helvetica, sans-serif"></font><font size="2"><b>&nbsp;&nbsp;
                  <select id="ageFromYear" name="ageFromYear" size="1">
				  <option value="age">Age</option>
<script type="text/javascript">
for(var k=0;k<100;k++)
document.write("<option value="+k+">"+k+"</option>");
</script></select>
</b></font>
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<font size="2" face="Verdana, Arial, Helvetica, sans-serif">and</font>&nbsp;
<select id="ageToYear" name="ageToYear" size="1">
				  <option value="age">Age</option>
<script type="text/javascript">
for(var k=0;k<100;k++)
document.write("<option value="+k+">"+k+"</option>");
</script></select></td> 
          </tr> 
		  <tr bgcolor="#EBEBEB"> 
            <td height="13"> <div align="right"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><font color="#000000">Marital Status&nbsp;</font><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><font size="2"></font></font></font></font></div></td> 
            <td height="13">&nbsp;
              <input name="maritalStatus" id="single" type="radio" class="textBoxDashed" tabindex="10" onKeyUp="chkdata(11)" value="single" size="33" maxlength="50">              
              <font size="2" face="Verdana, Arial, Helvetica, sans-serif">Single</font><b>
              &nbsp;&nbsp;
              <input name="maritalStatus" id="married" type="radio" class="textBoxDashed" tabindex="10" onKeyUp="chkdata(11)" value="married" size="33" maxlength="50">
              </b><font color="#000000" size="2" face="Verdana, Arial, Helvetica, sans-serif">Married&nbsp;</font>
            </td> 
			  <td height="13"> <div align="right"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><font color="#000000">Nationality&nbsp;</font></font></font></div></td> 
            <td height="13"><b><font size="2">
              <SELECT name="nationality" class="ctrl" id="nationality" STYLE="width: 225px" tabindex="22" >
                <option value="" >Select Nationality</option>
                <OPTION value="AF">Afghanistan</OPTION><OPTION value="AL">Albania</OPTION><OPTION value="DZ">Algeria</OPTION><OPTION value="AS">American Samoa</OPTION><OPTION value="AD">Andorra</OPTION><OPTION value="AO">Angola</OPTION><OPTION value="AI">Anguilla</OPTION><OPTION value="AQ">Antarctica</OPTION><OPTION value="AG">Antigua and Barbuda</OPTION><OPTION value="AR">Argentina</OPTION><OPTION value="AM">Armenia</OPTION><OPTION value="AW">Aruba</OPTION><OPTION value="AU">Australia</OPTION><OPTION value="AT">Austria</OPTION><OPTION value="AZ">Azerbaijan</OPTION><OPTION value="BS">Bahamas</OPTION><OPTION value="BH">Bahrain</OPTION><OPTION value="BD">Bangladesh</OPTION><OPTION value="BB">Barbados</OPTION><OPTION value="BY">Belarus</OPTION><OPTION value="BE">Belgium</OPTION><OPTION value="BZ">Belize</OPTION><OPTION value="BJ">Benin</OPTION><OPTION value="BM">Bermuda</OPTION><OPTION value="BT">Bhutan</OPTION><OPTION value="BO">Bolivia</OPTION><OPTION value="BA">Bosnia and Herzegovina</OPTION><OPTION value="BW">Botswana</OPTION><OPTION value="BV">Bouvet Island</OPTION><OPTION value="BR">Brazil</OPTION><OPTION value="IO">British Indian Ocean Territory</OPTION><OPTION value="BN">Brunei</OPTION><OPTION value="BG">Bulgaria</OPTION><OPTION value="BF">Burkina Faso</OPTION><OPTION value="BI">Burundi</OPTION><OPTION value="KH">Cambodia</OPTION><OPTION value="CM">Cameroon</OPTION><OPTION value="CA">Canada</OPTION><OPTION value="CV">Cape Verde</OPTION><OPTION value="KY">Cayman Islands</OPTION><OPTION value="CF">Central African Republic</OPTION><OPTION value="TD">Chad</OPTION><OPTION value="CL">Chile</OPTION><OPTION value="CN">China</OPTION><OPTION value="CX">Christmas Island</OPTION><OPTION value="CC">Cocos (Keeling) Islands</OPTION><OPTION value="CO">Colombia</OPTION><OPTION value="KM">Comoros</OPTION><OPTION value="CG">Congo</OPTION><OPTION value="CK">Cook Islands</OPTION><OPTION value="CR">Costa Rica</OPTION><OPTION value="CI">C?te d'Ivoire</OPTION><OPTION value="HR">Croatia (Hrvatska)</OPTION><OPTION value="CU">Cuba</OPTION><OPTION value="CY">Cyprus</OPTION><OPTION value="CZ">Czech Republic</OPTION><OPTION value="CD">Congo (DRC)</OPTION><OPTION value="DK">Denmark</OPTION><OPTION value="DJ">Djibouti</OPTION><OPTION value="DM">Dominica</OPTION><OPTION value="DO">Dominican Republic</OPTION><OPTION value="TP">East Timor</OPTION><OPTION value="EC">Ecuador</OPTION><OPTION value="EG">Egypt</OPTION><OPTION value="SV">El Salvador</OPTION><OPTION value="GQ">Equatorial Guinea</OPTION><OPTION value="ER">Eritrea</OPTION><OPTION value="EE">Estonia</OPTION><OPTION value="ET">Ethiopia</OPTION><OPTION value="FK">Falkland Islands (Islas Malvinas)</OPTION><OPTION value="FO">Faroe Islands</OPTION><OPTION value="FJ">Fiji Islands</OPTION><OPTION value="FI">Finland</OPTION><OPTION value="FR">France</OPTION><OPTION value="GF">French Guiana</OPTION><OPTION value="PF">French Polynesia</OPTION><OPTION value="TF">French Southern and Antarctic Lands</OPTION><OPTION value="GA">Gabon</OPTION><OPTION value="GM">Gambia</OPTION><OPTION value="GE">Georgia</OPTION><OPTION value="DE">Germany</OPTION><OPTION value="GH">Ghana</OPTION><OPTION value="GI">Gibraltar</OPTION><OPTION value="GR">Greece</OPTION><OPTION value="GL">Greenland</OPTION><OPTION value="GD">Grenada</OPTION><OPTION value="GP">Guadeloupe</OPTION><OPTION value="GU">Guam</OPTION><OPTION value="GT">Guatemala</OPTION><OPTION value="GN">Guinea</OPTION><OPTION value="GW">Guinea-Bissau</OPTION><OPTION value="GY">Guyana</OPTION><OPTION value="HT">Haiti</OPTION><OPTION value="HM">Heard Island and McDonald Islands</OPTION><OPTION value="HN">Honduras</OPTION><OPTION value="HK">Hong Kong SAR</OPTION><OPTION value="HU">Hungary</OPTION><OPTION value="IS">Iceland</OPTION><OPTION value="IN" selected>India</OPTION><OPTION value="ID">Indonesia</OPTION><OPTION value="IR">Iran</OPTION><OPTION value="IQ">Iraq</OPTION><OPTION value="IE">Ireland</OPTION><OPTION value="IL">Israel</OPTION><OPTION value="IT">Italy</OPTION><OPTION value="JM">Jamaica</OPTION><OPTION value="JP">Japan</OPTION><OPTION value="JO">Jordan</OPTION><OPTION value="KZ">Kazakhstan</OPTION><OPTION value="KE">Kenya</OPTION><OPTION value="KI">Kiribati</OPTION><OPTION value="KR">Korea</OPTION><OPTION value="KW">Kuwait</OPTION><OPTION value="KG">Kyrgyzstan</OPTION><OPTION value="LA">Laos</OPTION><OPTION value="LV">Latvia</OPTION><OPTION value="LB">Lebanon</OPTION><OPTION value="LS">Lesotho</OPTION><OPTION value="LR">Liberia</OPTION><OPTION value="LY">Libya</OPTION><OPTION value="LI">Liechtenstein</OPTION><OPTION value="LT">Lithuania</OPTION><OPTION value="LU">Luxembourg</OPTION><OPTION value="MO">Macao SAR</OPTION><OPTION value="MK">Macedonia, Former Yugoslav Republic of</OPTION><OPTION value="MG">Madagascar</OPTION><OPTION value="MW">Malawi</OPTION><OPTION value="MY">Malaysia</OPTION><OPTION value="MV">Maldives</OPTION><OPTION value="ML">Mali</OPTION><OPTION value="MT">Malta</OPTION><OPTION value="MH">Marshall Islands</OPTION><OPTION value="MQ">Martinique</OPTION><OPTION value="MR">Mauritania</OPTION><OPTION value="MU">Mauritius</OPTION><OPTION value="YT">Mayotte</OPTION><OPTION value="MX">Mexico</OPTION><OPTION value="FM">Micronesia</OPTION><OPTION value="MD">Moldova</OPTION><OPTION value="MC">Monaco</OPTION><OPTION value="MN">Mongolia</OPTION><OPTION value="MS">Montserrat</OPTION><OPTION value="MA">Morocco</OPTION><OPTION value="MZ">Mozambique</OPTION><OPTION value="MM">Myanmar</OPTION><OPTION value="NA">Namibia</OPTION><OPTION value="NR">Nauru</OPTION><OPTION value="NP">Nepal</OPTION><OPTION value="NL">Netherlands</OPTION><OPTION value="AN">Netherlands Antilles</OPTION><OPTION value="NC">New Caledonia</OPTION><OPTION value="NZ">New Zealand</OPTION><OPTION value="NI">Nicaragua</OPTION><OPTION value="NE">Niger</OPTION><OPTION value="NG">Nigeria</OPTION><OPTION value="NU">Niue</OPTION><OPTION value="NF">Norfolk Island</OPTION><OPTION value="KP">North Korea</OPTION><OPTION value="MP">Northern Mariana Islands</OPTION><OPTION value="NO">Norway</OPTION><OPTION value="OM">Oman</OPTION><OPTION value="PK">Pakistan</OPTION><OPTION value="PW">Palau</OPTION><OPTION value="PA">Panama</OPTION><OPTION value="PG">Papua New Guinea</OPTION><OPTION value="PY">Paraguay</OPTION><OPTION value="PE">Peru</OPTION><OPTION value="PH">Philippines</OPTION><OPTION value="PN">Pitcairn Islands</OPTION><OPTION value="PL">Poland</OPTION><OPTION value="PT">Portugal</OPTION><OPTION value="PR">Puerto Rico</OPTION><OPTION value="QA">Qatar</OPTION><OPTION value="RE">Reunion</OPTION><OPTION value="RO">Romania</OPTION><OPTION value="RU">Russia</OPTION><OPTION value="RW">Rwanda</OPTION><OPTION value="WS">Samoa</OPTION><OPTION value="SM">San Marino</OPTION><OPTION value="ST">S?o Tom? and Pr?ncipe</OPTION><OPTION value="SA">Saudi Arabia</OPTION><OPTION value="SN">Senegal</OPTION><OPTION value="YU">Serbia and Montenegro</OPTION><OPTION value="SC">Seychelles</OPTION><OPTION value="SL">Sierra Leone</OPTION><OPTION value="SG">Singapore</OPTION><OPTION value="SK">Slovakia</OPTION><OPTION value="SI">Slovenia</OPTION><OPTION value="SB">Solomon Islands</OPTION><OPTION value="SO">Somalia</OPTION><OPTION value="ZA">South Africa</OPTION><OPTION value="GS">South Georgia and the South Sandwich Islands</OPTION><OPTION value="ES">Spain</OPTION><OPTION value="LK">Sri Lanka</OPTION><OPTION value="SH">St. Helena</OPTION><OPTION value="KN">St. Kitts and Nevis</OPTION><OPTION value="LC">St. Lucia</OPTION><OPTION value="PM">St. Pierre and Miquelon</OPTION><OPTION value="VC">St. Vincent and the Grenadines</OPTION><OPTION value="SD">Sudan</OPTION><OPTION value="SR">Suriname</OPTION><OPTION value="SJ">Svalbard and Jan Mayen</OPTION><OPTION value="SZ">Swaziland</OPTION><OPTION value="SE">Sweden</OPTION><OPTION value="CH">Switzerland</OPTION><OPTION value="SY">Syria</OPTION><OPTION value="TW">Taiwan</OPTION><OPTION value="TJ">Tajikistan</OPTION><OPTION value="TZ">Tanzania</OPTION><OPTION value="TH">Thailand</OPTION><OPTION value="TG">Togo</OPTION><OPTION value="TK">Tokelau</OPTION><OPTION value="TO">Tonga</OPTION><OPTION value="TT">Trinidad and Tobago</OPTION><OPTION value="TN">Tunisia</OPTION><OPTION value="TR">Turkey</OPTION><OPTION value="TM">Turkmenistan</OPTION><OPTION value="TC">Turks and Caicos Islands</OPTION><OPTION value="TV">Tuvalu</OPTION><OPTION value="UG">Uganda</OPTION><OPTION value="UA">Ukraine</OPTION><OPTION value="AE">United Arab Emirates</OPTION><OPTION value="UK">United Kingdom</OPTION><OPTION value="US">United States</OPTION><OPTION value="UM">United States Minor Outlying Islands</OPTION><OPTION value="UY">Uruguay</OPTION><OPTION value="UZ">Uzbekistan</OPTION><OPTION value="VU">Vanuatu</OPTION><OPTION value="VA">Vatican City</OPTION><OPTION value="VE">Venezuela</OPTION><OPTION value="VN">Viet Nam</OPTION><OPTION value="VG">Virgin Islands (British)</OPTION><OPTION value="VI">Virgin Islands</OPTION><OPTION value="WF">Wallis and Futuna</OPTION><OPTION value="YE">Yemen</OPTION><OPTION value="ZM">Zambia</OPTION><OPTION value="ZW">Zimbabwe
			</OPTION>
              </SELECT>
            </font></b></td> 
		  </tr>
			  <!--tr bgcolor="#EBEBEB"> 
            <td height="13"> <div align="right"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><font color="#000000">Religion&nbsp;</font><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><font size="2"></font></font></font></font></div></td> 
            <td height="13"><b><font size="2"> 
              <SELECT name="religion" id="religion" tabindex="15" class="textBoxGray" STYLE="width: 225px">
			<OPTION value="0" selected>Select Religion</OPTION>
			<OPTION value="150">Ahmedi</OPTION>

			<OPTION value="2">Athiest</OPTION>
			<OPTION value="153">Bhori</OPTION>
			<OPTION value="3">Buddhisim</OPTION>
			<OPTION value="4">Buddhism - Thai</OPTION>
			<OPTION value="5">Buddhism - Tibetian</OPTION>
			<OPTION value="6">Christianity</OPTION>

			<OPTION value="7">Christianity - Anglican</OPTION>
			<OPTION value="8">Christianity - Baptist</OPTION>
			<OPTION value="9">Christianity - Born Again</OPTION>
			<OPTION value="10">Christianity - Catholic</OPTION>
			<OPTION value="11">Christianity - Catholic Kananaya</OPTION>
			<OPTION value="12">Christianity - Catholic Latin</OPTION>

			<OPTION value="13">Christianity - Catholic Malankara</OPTION>
			<OPTION value="14">Christianity - Catholic Roman</OPTION>
			<OPTION value="15">Christianity - Catholic Syrian</OPTION>
			<OPTION value="16">Christianity - CMS</OPTION>
			<OPTION value="17">Christianity - CSI</OPTION>
			<OPTION value="18">Christianity - Evangelical</OPTION>

			<OPTION value="19">Christianity - Jacobite</OPTION>
			<OPTION value="20">Christianity - Marthomite</OPTION>
			<OPTION value="21">Christianity - Nadar</OPTION>
			<OPTION value="22">Christianity - Orthodox</OPTION>
			<OPTION value="23">Christianity - Pentacost</OPTION>
			<OPTION value="24">Christianity - Protestant</OPTION>

			<OPTION value="159">Christianity- Malayalam</OPTION>
			<OPTION value="55">Dawoodi Bhora</OPTION>
			<OPTION value="25">Hindu</OPTION>
			<OPTION value="26">Hindu - 96K Kokanastha</OPTION>
			<OPTION value="141">Hindu - Adi Dravida</OPTION>
			<OPTION value="27">Hindu - Agamudayaar</OPTION>

			<OPTION value="28">Hindu - Agarwal</OPTION>
			<OPTION value="29">Hindu - Arora</OPTION>
			<OPTION value="30">Hindu - Arya Vysya</OPTION>
			<OPTION value="31">Hindu - Balija Naidu</OPTION>
			<OPTION value="32">Hindu - Bengali</OPTION>
			<OPTION value="33">Hindu - Bhandari</OPTION>

			<OPTION value="34">Hindu - Billava</OPTION>
			<OPTION value="35">Hindu - Brahmin</OPTION>
			<OPTION value="36">Hindu - Brahmin Anavil</OPTION>
			<OPTION value="160">Hindu - Brahmin Bengali</OPTION>
			<OPTION value="37">Hindu - Brahmin Davadnya</OPTION>
			<OPTION value="38">Hindu - Brahmin Deshastha</OPTION>

			<OPTION value="39">Hindu - Brahmin Garhwali</OPTION>
			<OPTION value="40">Hindu - Brahmin Gaur</OPTION>
			<OPTION value="41">Hindu - Brahmin Gowd Saraswat</OPTION>
			<OPTION value="42">Hindu - Brahmin Gujarati</OPTION>
			<OPTION value="43">Hindu - Brahmin Havyaka</OPTION>
			<OPTION value="44">Hindu - Brahmin Kanada Madhva</OPTION>

			<OPTION value="45">Hindu - Brahmin Kanyakubja</OPTION>
			<OPTION value="46">Hindu - Brahmin Kokanastha</OPTION>
			<OPTION value="164">Hindu - Brahmin Kumoani</OPTION>
			<OPTION value="47">Hindu - Brahmin Maharashtrian</OPTION>
			<OPTION value="48">Hindu - Brahmin Maithil</OPTION>
			<OPTION value="49">Hindu - Brahmin Nagar</OPTION>

			<OPTION value="169">Hindu - Brahmin Pareek</OPTION>
			<OPTION value="50">Hindu - Brahmin Punjabi</OPTION>
			<OPTION value="154">Hindu - Brahmin Saryuparin</OPTION>
			<OPTION value="163">Hindu - Brahmin Smartha</OPTION>
			<OPTION value="51">Hindu - Brahmin Telugu</OPTION>
			<OPTION value="151">Hindu - Bramhan Bhumihar</OPTION>

			<OPTION value="52">Hindu - Bunt</OPTION>
			<OPTION value="53">Hindu - Chettiar</OPTION>
			<OPTION value="54">Hindu - Coorgi</OPTION>
			<OPTION value="146">Hindu - Daraji</OPTION>
			<OPTION value="56">Hindu - Devanga</OPTION>
			<OPTION value="57">Hindu - Dheevara</OPTION>

			<OPTION value="58">Hindu - Digambar</OPTION>
			<OPTION value="59">Hindu - Ezhava</OPTION>
			<OPTION value="60">Hindu - Ezhuthassan</OPTION>
			<OPTION value="61">Hindu - Gold Smith</OPTION>
			<OPTION value="62">Hindu - Gounder</OPTION>
			<OPTION value="63">Hindu - Gowda</OPTION>

			<OPTION value="64">Hindu - Gujarati</OPTION>
			<OPTION value="65">Hindu - Gupta</OPTION>
			<OPTION value="66">Hindu - Iyengar</OPTION>
			<OPTION value="67">Hindu - Iyer</OPTION>
			<OPTION value="68">Hindu - Jat</OPTION>
			<OPTION value="171">Hindu - Jatav</OPTION>

			<OPTION value="145">Hindu - Kamboj</OPTION>
			<OPTION value="69">Hindu - Kamma</OPTION>
			<OPTION value="70">Hindu - Kapu</OPTION>
			<OPTION value="71">Hindu - Kashmiri Pandit</OPTION>
			<OPTION value="72">Hindu - Kayastha</OPTION>
			<OPTION value="155">Hindu - Kerala Malaylee Namboodiri</OPTION>

			<OPTION value="149">Hindu - Khandelwal</OPTION>
			<OPTION value="73">Hindu - Khatri</OPTION>
			<OPTION value="74">Hindu - Kongu Vellala Gounder</OPTION>
			<OPTION value="75">Hindu - Kshatriya</OPTION>
			<OPTION value="76">Hindu - Kumaoni</OPTION>
			<OPTION value="77">Hindu - Kumbara</OPTION>

			<OPTION value="78">Hindu - Kurmi</OPTION>
			<OPTION value="152">Hindu - Kuruhina Shetty</OPTION>
			<OPTION value="79">Hindu - Lingayat</OPTION>
			<OPTION value="80">Hindu - Lohana</OPTION>
			<OPTION value="81">Hindu - Maharashtrian</OPTION>
			<OPTION value="82">Hindu - Maheshwari</OPTION>

			<OPTION value="83">Hindu - Maratha</OPTION>
			<OPTION value="84">Hindu - Maruthuvar</OPTION>
			<OPTION value="85">Hindu - Marwari</OPTION>
			<OPTION value="162">Hindu - Matang</OPTION>
			<OPTION value="168">Hindu - Mathur</OPTION>
			<OPTION value="142">HIndu - Mathurvaishya</OPTION>

			<OPTION value="86">Hindu - Menon</OPTION>
			<OPTION value="87">Hindu - Mudaliar</OPTION>
			<OPTION value="88">Hindu - Mudaliar Arcot</OPTION>
			<OPTION value="89">Hindu - Mudaliar Saiva</OPTION>
			<OPTION value="90">Hindu - Mudaliar Senguntha</OPTION>
			<OPTION value="91">Hindu - Mukulathur</OPTION>

			<OPTION value="92">Hindu - Mutharaiyar</OPTION>
			<OPTION value="93">Hindu - Nadar</OPTION>
			<OPTION value="94">Hindu - Naidu</OPTION>
			<OPTION value="95">Hindu - Nair</OPTION>
			<OPTION value="96">Hindu - Nambiar</OPTION>
			<OPTION value="97">Hindu - Nayaka</OPTION>

			<OPTION value="98">Hindu - Padmashali</OPTION>
			<OPTION value="99">Hindu - Patel Desai</OPTION>
			<OPTION value="100">Hindu - Patel Kadva</OPTION>
			<OPTION value="101">Hindu - Patel Leva</OPTION>
			<OPTION value="102">Hindu - Pillai</OPTION>
			<OPTION value="103">Hindu - Prajapati</OPTION>

			<OPTION value="104">Hindu - Punjabi</OPTION>
			<OPTION value="105">Hindu - Rajput</OPTION>
			<OPTION value="106">Hindu - Reddy</OPTION>
			<OPTION value="107">Hindu - Saiva Pillai</OPTION>
			<OPTION value="108">Hindu - Scheduled Caste</OPTION>
			<OPTION value="109">Hindu - Sindhi</OPTION>

			<OPTION value="110">Hindu - Sowrashtra</OPTION>
			<OPTION value="111">Hindu - Sozhiya Vellalar</OPTION>
			<OPTION value="156">Hindu - Tamil</OPTION>
			<OPTION value="112">Hindu - Tamil Yadava</OPTION>
			<OPTION value="157">Hindu - Telgu</OPTION>
			<OPTION value="170">Hindu - Teli</OPTION>

			<OPTION value="113">Hindu - Thevar</OPTION>
			<OPTION value="114">Hindu - Thiyya</OPTION>
			<OPTION value="115">Hindu - Udayar</OPTION>
			<OPTION value="116">Hindu - Vaishnav</OPTION>
			<OPTION value="117">Hindu - Vaishnav Bania</OPTION>
			<OPTION value="118">Hindu - Vaishnav Bhatia</OPTION>

			<OPTION value="119">Hindu - Vaishnav Vania</OPTION>
			<OPTION value="120">Hindu - Vanniyakullak Shatriya</OPTION>
			<OPTION value="121">Hindu - Vanniyar</OPTION>
			<OPTION value="122">Hindu - Varier</OPTION>
			<OPTION value="123">Hindu - Veerashaiva</OPTION>
			<OPTION value="124">Hindu - Vellama</OPTION>

			<OPTION value="165">Hindu - Vilakkithala Nair</OPTION>
			<OPTION value="125">Hindu - Vishwakarma</OPTION>
			<OPTION value="126">Hindu - Viswabrahmin</OPTION>
			<OPTION value="127">Hindu - Vokaliga</OPTION>
			<OPTION value="128">Hindu - Vysya</OPTION>
			<OPTION value="129">Hindu - Yadav</OPTION>

			<OPTION value="166">Hindu Nair Veluthedath</OPTION>
			<OPTION value="130">Islam</OPTION>
			<OPTION value="158">Islam - Bangla</OPTION>
			<OPTION value="131">Islam - Shia</OPTION>
			<OPTION value="132">Islam - Sunni</OPTION>
			<OPTION value="147">Ismaili</OPTION>

			<OPTION value="167">Jain</OPTION>
			<OPTION value="161">Jain Digambar</OPTION>
			<OPTION value="144">Jain Swetamber</OPTION>
			<OPTION value="133">Other</OPTION>
			<OPTION value="134">Sikh</OPTION>
			<OPTION value="135">Sikh - Clean Shaven</OPTION>

			<OPTION value="136">Sikh - Gursikh</OPTION>
			<OPTION value="137">Sikh - Jat</OPTION>
			<OPTION value="138">Sikh - Kesadhari</OPTION>
			<OPTION value="139">Sikh - Khatri</OPTION>
			<OPTION value="140">Sikh - Ramqharia</OPTION>
			<OPTION value="143">Zoroastrain Parsi</OPTION>
              </SELECT>
              </font></b></td> 
			  <td height="13"> <div align="right"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><font color="#000000">Interest&nbsp;</font><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><font size="2"></font></font></font></font></div></td> 
            <td height="13"><b><font size="2"> 
              <input name="PLACBRTH" type="text" class="textBoxDashed" tabindex="10" size="33" maxlength="50" onKeyUp="chkdata(11)"> 
              </font></b></td> </tr-->
			  <tr bgcolor="#EBEBEB"> 
            <td height="11" bgcolor="#EBEBEB"> <div align="right"> <font color="#000000" size="2" face="Verdana, Arial, Helvetica, sans-serif">Qualification</font>&nbsp;<font size="2"> 
                </font></div></td> 
            <td height="11" bgcolor="#EBEBEB"> <div align="left"><font size="2"> 
                </font><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><b><font size="2"> 
                <SELECT class="textboxnitsnew"  STYLE="width: 225px"  id="qualification" tabindex="23" name="qualification" onChange="if(document.getElementById(&#39;div_ugeduc&#39;)){ populateSpec(&#39;ugcourse&#39;,&#39;ugspec&#39;,&#39;ug&#39;);showHideOther(&#39;ugcourse&#39;,&#39;ougcourse&#39;,null,null,&#39;error_ugcourse&#39;,&#39;status_ugcourse&#39;,&#39;UGCOURSE&#39;);hideIfNoUG();}">
<OPTION value="-1" selected>Select Qulification</OPTION>

<OPTION value="1">Metriculation</OPTION>
<OPTION value="1a">Intermediate</OPTION>
<OPTION value="2">B.A</OPTION>
<OPTION value="3">B.Arch</OPTION>
<OPTION value="4">BCA</OPTION>
<OPTION value="5">B.B.A</OPTION>
<OPTION value="6">B.Com</OPTION>
<OPTION value="7">B.Ed</OPTION>
<OPTION value="8">BDS</OPTION>
<OPTION value="9">BHM</OPTION>

<OPTION value="10">B.Pharma</OPTION>
<OPTION value="11">B.Sc</OPTION>
<OPTION value="12">B.Tech/B.E.</OPTION>
<OPTION value="13">LLB</OPTION>
<OPTION value="14">MBBS</OPTION>
<OPTION value="15">Diploma</OPTION>
<OPTION value="16">BVSC</OPTION>
<OPTION value="9999">Other</OPTION>
</SELECT>
                 
                </font></b></font></font></div></td> 
            <td height="11" align="right" bgcolor="#EBEBEB"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><font size="2"><font color="#000000" size="2" face="Verdana, Arial, Helvetica, sans-serif">Profession</font><font color="#FF0000">&nbsp;</font></font></font></td> 
            <td height="11"><b><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><b><font size="2"> 
              <SELECT name="profession" id="profession" tabindex="24" class="textBoxGray" STYLE="width: 225px" >
			<OPTION value="0" selected>Select Profession</OPTION>

			<OPTION value="10053">Engineering</OPTION>
			<OPTION value="10052">Doctor</OPTION>
			<OPTION value="10010">Editor</OPTION>
			<OPTION value="10020">Clerk</OPTION>
			<OPTION value="10040">Teacher</OPTION>
			<OPTION value="10051">Professor</OPTION>
			<OPTION value="10052">Manager</OPTION>
			<OPTION value="10053">Actor</OPTION>
			<OPTION value="10054">Producer</OPTION>
			<OPTION value="10055">Politicion</OPTION>
			<OPTION value="10056">lawyer</OPTION>
			<OPTION value="10057">Writer</OPTION>
			<OPTION value="10058">Judge</OPTION>
			<OPTION value="10058">Journalist</OPTION>
			<OPTION value="10058">Cook</OPTION>
			
			
</SELECT> 
              <div id="t4" class="tip"></div> 
              </font></b></font></font></b></td> 
          </tr>  

<!--tr bgcolor="#EBEBEB"> 
            <td height="16"><div align="right"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Sant Samaj&nbsp; </font></div></td> 
            <td height="16">
              <select name="" STYLE="width: 225px" >
			  <option value="1sm">Sant Samaj 1</option>
                <option value="2sm">Sant Samaj 2</option>
				<option value="3sm">Sant Samaj 3</option>
				<option value="4sm">Sant Samaj 4</option>
				<option value="5sm">Sant Samaj 5</option>
            </select>&nbsp;</td> 
            <td height="16"><div align="right"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Group&nbsp;</font></div></td> 
            <td height="16"><select name="APPLSEX" tabindex="8" class="combo" STYLE="width: 225px" > 
                <option value="Select" selected>Groups</option> 
                <option value="President">President</option> 
                <option value="Prsbhari">Prsbhari</option> 
                <option value="Updeshtha">Updeshtha</option> 
				<option value="Member">Member</option>
              </select>&nbsp;</td> 
          </tr--> 

		  
		  
                    
			  
		  
		  <tr bgcolor="#F0E7DD"> 
            <td colspan="4" height="20"> <div align="left"><font face="Verdana, Arial, Helvetica, sans-serif"><b><font size="2" color="#990000">&nbsp;&nbsp;</font></b></font><b><font face="Verdana, Arial, Helvetica, sans-serif"><b><font size="2" color="#990000"></td> 
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            <td height="26" colspan="4"><div align="justify"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Has&nbsp;&nbsp;</font>
              
              &nbsp;
              <input id="mobile" name="mobile" type="checkbox" name="checkbox" value="checkbox">
              &nbsp;&nbsp;<font size="2" face="Verdana, Arial, Helvetica, sans-serif">Mobile</font>  &nbsp;&nbsp;&nbsp;&nbsp;
              <input id="tel" name="tel" type="checkbox" name="checkbox" value="checkbox">
              &nbsp;&nbsp;<font size="2" face="Verdana, Arial, Helvetica, sans-serif">Phone &nbsp;</font>
  
              <input id="email" name="email" type="checkbox" name="checkbox" value="checkbox">
  &nbsp;<font size="2" face="Verdana, Arial, Helvetica, sans-serif">Email &nbsp;</font>

  <input id="panCard" name="panCard" type="checkbox" name="checkbox" value="checkbox">   
  &nbsp;<font size="2" face="Verdana, Arial, Helvetica, sans-serif">Pan Card   &nbsp;</font>
            </div></td>
          </tr>  
			<tr bgcolor="#F0E7DD"> 
            <td colspan="4" height="20"> <div align="left"><font face="Verdana, Arial, Helvetica, sans-serif"><b><font size="2" color="#990000">&nbsp;&nbsp;</font></b></font><b><font face="Verdana, Arial, Helvetica, sans-serif"><b><font size="2" color="#990000"></td> 
          </tr> 
		  <tr bgcolor="#EBEBEB"> 
            <td height="20" > <div align="right"><font face="Verdana, Arial, Helvetica, sans-serif">
			<font size="2" color="#000000">VY Posts&nbsp;</font> </font></div></td>		
            <td height="20" align="left"><select name="vyPost" id="vyPost" STYLE="width: 225px" >
                <option value="President">President</option>
                <option value="Secratory">Secratory</option>
                <option value="Joint Secratory">Joint Secratory</option>
                <option value="Prabhari">Prabhari</option>
                <option value="Patrika Prabhari">Patrika Prabhari</option>
                <option value="Sanyojak">Sanyojak</option>
                <option value="Updeshtha">Updeshtha</option>
                <option value="Prachrak">Prachrak</option>
                <option value="acc">Accountent</option>
				<option value="dgn">Designer</option>
				<option value="trs">Tresurer</option>
				<option value="mgr">Manager</option>
              </select>              
            <td height="20" > <div align="right"><font face="Verdana, Arial, Helvetica, sans-serif"> 
            <font size="2" color="#000000">VY Ex-Post&nbsp;</font></font></div></td>
                        
            <td height="20" align="left"> 
			<select name="vyExPost" id="vyExPost" STYLE="width: 225px" >
                <option value="President">President</option>
                <option value="Secratory">Secratory</option>
                <option value="Joint Secratory">Joint Secratory</option>
                <option value="Prabhari">Prabhari</option>
                <option value="Patrika Prabhari">Patrika Prabhari</option>
                <option value="Sanyojak">Sanyojak</option>
                <option value="Updeshtha">Updeshtha</option>
                <option value="Prachrak">Prachrak</option>
                <option value="acc">Accountent</option>
				<option value="dgn">Designer</option>
				<option value="trs">Tresurer</option>
				<option value="mgr">Manager</option>
              </select></td>           
		  </tr>
		  <tr bgcolor="#EBEBEB"> 
            <td colspan="4" height="20"> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
              
                  <input type="checkbox" id="vyEmployee" name="vyEmployee" tabindex="7" class="checkBGnone" onClick="change(document.OnlineForm)">
				  <font size="2" color="#990000"><font face="Verdana, Arial, Helvetica, sans-serif"><strong>VY Employee </strong></font>&nbsp;&nbsp;&nbsp;
              &nbsp;</font> &nbsp;&nbsp;&nbsp;&nbsp;<font size="2" face="Verdana, Arial, Helvetica, sans-serif">Responsibility </font> &nbsp;&nbsp;
              <input id="responsibility" name="responsibility" type="text" disabled=true class="textBoxDashed12" tabindex="7" size="33" maxlength="50"  onKeyUp="chkdata(8)">
&nbsp;&nbsp;&nbsp;</p>
              <p><font size="2" face="Verdana, Arial, Helvetica, sans-serif">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Specify Ashram if any  </font> &nbsp;&nbsp;
                <input id="vyAshram" name="vyAshram" type="text" disabled=true class="textBoxDashed12" tabindex="7" size="33" maxlength="50"  onKeyUp="chkdata(8)">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p>
          </tr>
		   <tr bgcolor="#F0E7DD"> 
            <td colspan="4" height="20"> <div align="left"><font face="Verdana, Arial, Helvetica, sans-serif"><b><font size="2" color="#990000">&nbsp;&nbsp;</font></b></font><b><font face="Verdana, Arial, Helvetica, sans-serif"><b><font size="2" color="#990000"></td> 
          </tr> 
		  
		  <!--tr bgcolor="#EBEBEB"> 
            <td height="13" colspan="2"> <div align="right"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><font color="#000000">Comment Search &nbsp;</font></font></font></div></td> 
            <td height="13" colspan="3">&nbsp;<input id="commentSearch" name="commentSearch" type="text" value="Search" size="33" maxlength="50">&nbsp;&nbsp;&nbsp;&nbsp;<input name="search" type="button" value=" Search "></td> 
		  </tr-->
			<tr bgcolor="#F0E7DD"> 
            <td colspan="4" height="20"> <div align="left"><font face="Verdana, Arial, Helvetica, sans-serif"><b><font size="2" color="#990000">&nbsp;&nbsp;</font></b></font><b><font face="Verdana, Arial, Helvetica, sans-serif"><b><font size="2" color="#990000"></td> 
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          <tr bgcolor="#EBEBEB"> 
            <td colspan="2" height="23"> <div align="right">&nbsp; 
                <input type="reset" name="reset" value="RESET"  tabindex="55" class="LoginButton">&nbsp;&nbsp;  
              </div></td> 
            <td colspan="2" height="23"> <div align="left"> 
                &nbsp;&nbsp;<input type="submit" name="submit" value=" SEARCH " tabindex="56" class="LoginButton" onClick="alert('Welcome to Bangalore Sant Samaj!');" />

              </div></td> 
          </tr> 
        </table> 
           
        <div align="center"></div> 
      </td> 
      <td width="9%">&nbsp;</td> 
    </tr> 
    <tr> 
      <td width="1%">&nbsp;</td> 
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